Cystic fibrosis i vei em tih hriat nan sweat test chungchang i zir dawn nia.

I fate hian a chang chuan thawk a harsat em, a nih loh leh a rihna a tihpun loh avangin harsatna a nei em? A nih loh leh, i rilruah khuh reng emaw, thawk hah ri emaw ang chi thil i hmu em? A chang chuan heng thil hnung lamah hian kan hriat tam loh natna a awm thei a, mahse fimkhur a pawimawh hle. Chu chu vawiinah kan sawi dawn a ni. Hei hi Cystic Fibrosis an ti a, a then chuan (CF) tia tawifel an ni bawk. Eng nge a nih, engtin nge a hriat chhuah tih te, a bik takin hemi atana an tih thin ‘Sweat Test’ chungchang chipchiar tak tak thenkhat i en ang u.

Cystic Fibrosis hi eng nge ni tak tak?

A awlsam zawngin, cystic fibrosis hi rochun natna a ni . Chu chu nu leh pa atanga fate hnena hlan chhawn theih thil a ni tihna a ni. Hemi a thil thleng chu kan taksa chhunga tui thenkhat, a bik takin mucus te hi a thim hle a, a sticky hle bawk. Ngaihtuah teh, mi hrisel lung leh sinus-a mucus hi tui ang maiin a hnim hrual lo em ni? Kan thawkna kawng tifaitu leh natna hrik paih chhuaktu a ni.

Mahse cystic fibrosis vei tan chuan he mucus hi a thim hle a, glue ang mai a ni. Chuvangin he thick mucus hi lung leh pancreas ang chi taksa peng pawimawh takah a awm a, an hnathawh dan pangngai a tibuai a ni. A bik takin he mucus thuk tak hi lungah a awm khawm chuan thawkna kawng a inkhar tan thin. Tichuan thawk a harsa hle a, infection a awm fo thei bawk. Pancreas a nghawng chuan chaw ei lama harsatna leh ei leh in lama harsatna a awm thei a ni. Hei mai ni lovin, thin, intestines, leh genitals ang chi hmun te pawh a nghawng thei a ni.

Cystic fibrosis hi natna khirh tak a ni a . Chumi awmzia chu rei tak a daih a, a dam kim thei lo tihna a ni. Natna zual zel anga ngaih a ni bawk . Chumi awmzia chu hun kal zelah symptoms chu a zual zauh zauh thei a, complication a awm thei tihna a ni. Chuvang chuan hriat hmasak a, uluk taka enkawl a pawimawh hle.

Naupangte zingah hian eng nge a lan chhuah dan?

Naupang tê, a bik takin naute hian cystic fibrosis a neih chuan heng symptoms zinga pakhat emaw a aia tam emaw an nei thei a ni. Naupang zawng zawng hian vawi khatah heng natna lan chhuah zawng zawng hi an nei vek dawn lo va, a natna lan chhuah dan nasat dan pawh naupang hrang hrangah a inang lo thei bawk. Chu chu hriat reng a pawimawh.

Chutiang feature thenkhat chu hetiang hi a ni:

• Hlawhtling lo: Naute chu hnute pe thain a hnuah ei leh in tha mahse, a thau lo thei a, kum inang naute dang nena khaikhin chuan a thau lo niin a lang thei bawk.
• Thianghlim emaw, hriak nei emaw: A châng chuan i naute ek chu a hrual nasa hle thei a, tui a tam emaw, a hriak emaw a ni thei. A chang chuan bawlhhlawh hian rimchhia a nei thei bawk.
• Thâwk harsa: .Thâwk harsa ang maia inhria reng reng, thawk hah ang maia inhriatna.
• Persistent wheezing: Hril atanga thawk chhuak reng reng. Hei hi asthma ang chi dinhmunah pawh a awm thei a, mahse CF-ah chuan a langsar zawk.
• Lung infection tam tak: Entirnan, Pneumonia leh Bronchitis te hi a awm fo thin. Thla khatah vawi khat emaw vawi hnih emaw lung infection i neih chuan ngaihtuahawm tak a ni.
• Sinus infection repeated: Hnar chhehvela cavities (sinus)-a infection awm fo thin. A lan chhuah dan chu hnar khuh, hnar luang, leh hnar khar te a ni.
• Persistent, possibly phlegmy cough: Khuh chhunzawm zel, a dam lo. Khuh, mucus thick tak siamtu pawh a ni thei.
• Slow growth: Naupang kum inang naupang dangte nena khaikhin chuan a san zawng leh a rih zawng hi a thang chak lo deuh niin a lang.
• A châng chuan naute vun chu chi a thlum ṭhin: Nu leh pa ṭhenkhat chuan an naute vun thawmhnaw hrui chu an hnawih hian chi a ni tih an sawi bawk.

I fa te hian heng natna lan chhuah dan pakhat emaw a aia tam emaw a nei nia i rinhlelh chuan a tha ber chu naupang enkawltu doctor pan a, thurawn lak hi a ni.

Sweat test hi eng nge ni a, eng nge a tih?

Doctor-te chuan damlo chu uluk taka enfiah a, an natna lan chhuah dan ngaihthlak a, test chi hrang hrang an tih hian cystic fibrosis an nei tih an hmuchhuak thin. Hei hian genetic test - thisen test a ni a, gene inthlak danglamna zawngin - chest leh sinus X-ray te, leh lung function test te a huam a ni.

Mahse, cystic fibrosis i neih leh neih loh finfiahna atana test pawimawh ber leh chiang ber chu sweat test hi a ni. Hei hi test awlsam tak, hrehawm lo tak a ni. I thawmhnaw chhunga chloride awm zat a teh thin. Kan chi (salt) hi chemical pahnih chloride leh sodium an tih atanga siam a ni tih i hria em. Chuvangin, cystic fibrosis vei te thawmhnaw ah hian chloride awm zat hi mi pangngai aiin a tam zawk hle.

A chhan chu, cystic fibrosis thlentu genetic defect avang hian kan cell chhunga chloride kal theihna tura puitu protein hnathawh a tichhe a ni. Chuvang chuan chloride chu cell chhungah a lut tha thei lo va, a chhuak thei lo bawk. Hei hi thawmhnaw chhunga chloride a awm dan pangngai lo taka a punkhawm hun a ni. A awlsam hlein lang mah se, hei hi he natna hmuhchhuahna atana scientific basis bulpui ber a ni.

A tlangpuiin, naupangin cystic fibrosis rochun a hlauhawm a nih chuan (entir nan, chhungkuaa mi pakhatin natna a neih chuan), emaw, a hmaa kan sawi tawh ang chi natna lan chhuahna an lantir a nih chuan, doctor-te chuan he sweat test hi an rawt thin. A chang chuan naupang unau te pawh he test hi ti turin an ti thin. Hei hi anmahni pawhin he gene hi an rochun tawh em tih leh an fate pawhin nakin lawkah he gene hi an rochun theihna tur hlauhawma an awm leh awm loh en nan a ni.

Engtin nge he sweat test hi an tih thin? Hlauh tur thil a ni em?

He sweat test hi kum eng pawha tih theih a ni. Mahse, naute piang tharte hian an dam chhung ni hmasa berah he test atan hian thawmhnaw an siam chhuak thei lo mai thei. Chuvangin, he test hi naute kar hnih leh kar li inkar ah tih thin a ni tlangpui , chutih lai chuan thawmhnaw tha tak an siam thei a ni.

He test hi tih a awlsam hle a, a pawi lo tak zet a ni. Chuvangin hlau suh, okay? Hetah hian thil thleng chu a awm:

1. Pakhatnaah chuan healthcare worker, nurse emaw doctor emaw pawhin naupang kut (a tlangpuiin kut hmawr) emaw, ke emaw vunah pilocarpine an tih chemical awmna gel emaw liquid emaw a hnawih thin. Pilocarpine hi damdawi a ni a, chu chuan sweat glands a tichak a.

2. Tichuan, chu hmunah chuan electrode pahnih dahin electrical stimulation te tak te, hlauhawm lo tak pek a ni a, chu chuan sweat glands te chu a tichak lehzual a, thawmhnaw a siam chhuak thin. Hei hi minute 5 vel tih a ni. Hriselna leh natna a awm lo tak zet a ni. Naupang tê chuan an kut emaw, an ke emaw-ah emaw, a lum emaw, a lum deuh emaw a hre thei a, mahse chu chu a ni mai. Nausen tam zawk pawhin hetiang hi an hre lo.

3. A dawtah chuan electrode te chu lakchhuah a ni a, vun hmun chu tihfai a ni a, chu hmunah chuan thawmhnaw khawlkhawmna hmanrua bik (plastic coil emaw, filter paper emaw, gauze emaw) dah a ni. Hei hi minute 30 vel a hmunah dahin thawmhnaw a khawlkhawm thin.

4. A tawp berah chuan he thawmhnaw sample lakkhawm hi lab-ah thawnin chloride awm zat dik taka teh a ni.

Test pumpui hi darkar khat vel a ni. I fate chu i bulah infiamna emaw, bawnghnute bottle emaw i neih chuan thlamuang taka awmtir a awlsam zawk.

He test result hian eng nge a sawi?

Okay, tunah chuan he sweat test result hian eng nge a sawi tih i en ang u. Naupangin cystic fibrosis a neih chuan thawmhnaw test-ah chuan an thawmhnaw ah hian chloride a awm dan pangngai aia tam a awm tih a lang ang.

Measured value chungchangah chuan hetiang hi a ni (heng value te hi lab hrang hrangah a inang lo deuh thei a, mahse a tlangpuiin hetiang hi a ni):

• I fate chloride level 60 mmol/L (millimol/liter) aia tam a nih chuan : Cystic fibrosis an neih a rinawm hle.A tlangpuiin hetiang result a lo chhuah chuan test nawn lehin confirm a ni.
• Naupang chloride level chu 30 mmol/L (millimol/liter) aia tlem a ni (inkaihhruaina thenkhatah chuan 40 mmol/L aia tlem an ti): Cystic fibrosis a nei lo tih theih a ni.
• I fate chloride level chu 30 leh 59 mmol/L inkar a nih chuan ( hmun thenkhatah chuan 40-59 mmol/L): Hei hi intermediate emaw borderline result anga ngaih a ni . Chutiang a nih chuan test chu tih nawn leh a ngai mai thei . CF atypical form thenkhat tihbo nan test dang, genetic testing ang chi te pawh a ngai thei bawk.

A pawimawh ber chu heng result te hi doctor-in a hrilhfiah tur a ni. Chuvangin, result a lo chhuah hunah chuan a tha ber chu doctor nen inbiakna neih a, a thupek zawm hi a ni. Hlauthawng suh.

Engtin nge i naute chu thawmhnaw test atan i buatsaih ang? Thil lian tham tih i mamawh em?

Hei hi mom leh dad tan pawh a awlsam hle. I naute chu thawmhnaw test tura inbuatsaih nan thil bik tih a ngai lo.

• He test hma hian naupang ei leh in (feeding pattern, solid foods pek a nih chuan), activity, damdawi ei tur engmah tihdanglam emaw tihtawp emaw a ngai lo. A pangngai angin vawng reng rawh.
• A awm chhun chu, test hma darkar 24 chhung chu i fa vunah hian cream emaw lotion emaw engmah hnawih loh tur a ni. A bik takin kut leh ke test mek ah engmah hnawih suh. Hei hian test result a nghawng thei a ni.

En teh, a awlsam hle mai. Test ni hian i naute chu thawmhnaw eng leh nuam tak ha chungin thuam rawh.

He thawnthu atanga kan hriat reng tur pawimawh tak tak (Take-Home Message) .

Okay, chuvangin tunah chuan vawiin a kan sawi tawh, Cystic Fibrosis leh Sweat Test te hi in hriatthiam ka beisei. Hei hi thupui buaithlak tak angin lang mahse, a bulpui i hriatthiam hnuah chuan chutiang chuan a harsa lo. Kan sawiho tawh atang hian kan hriat reng tur thenkhat chu hetiang hi a ni:

• Cystic fibrosis (CF) hi genetic disease a ni a, taksa mucus a ti thim a, a bik takin lung leh chaw ei kawng a nghawng nasa hle.
• Simptoms fimkhur rawh: Heng symptoms zinga pakhat emaw, a aia tam emaw i neih chuan, i taksa rihna tlahniam, thawk hah fo, khuh reng emaw, ekna thau emaw i neih chuan doctor hmu la, sawiho rawh.
• Sweat test hi cystic fibrosis finfiahna atana test ber, rintlak ber a ni: sweat-a chloride level a teh thin.
• Test hi a hrehawm lo va, a him bawk: chuvangin hei atan hian i naute hruai hlau suh.
• Natna hi hriat hmasak a pawimawh hle:A chhan chu chutiang a nih chuan enkawlna leh enkawl dan tul tak takte chu rang taka tan theih a ni a, chu chuan naupangin harsatna a tawh theihte chu a tihziaawm thei a, nun tha zawk, hrisel zawka an nun theih nan a pui thei a ni.

Nangmah emaw i hriat mi emaw hian hetiang harsatna hi i nei a nih chuan a tha ber chu hlauthawng emaw, internet-a i thil hmuh zawng zawng ring emaw ni lovin, doctor thiam tak nena inbiakna neih hi a ni. Anni hian uluk takin an kaihruai ang che a, i mamawh tanpuina pawh an pe ang che.

` Cystic Fibrosis, thawmhnaw test, chloride, naupang enkawlna, thlah natna, lung natna